院前急救联合院内绿色通道在抢救急性心肌梗死患者中的应用效果研究

Application Effect Study of Pre Hospital Emergency Combined with In-Hospital Green Channel in Rescuing patients with Acute Myocardial Infarction

目的分析院前急救以及绿色通道应用在急性心肌梗死患者抢救中的重要作用。方法选取2018年1月—2023年10月本中心抢救的50例急性心肌梗死患者为研究对象,按照抢救方式分为基本抢救组(基本抢救方式)和联合抢救组(院前急救、绿色通道联合抢救方式),了解患者抢救情况、是否出现并发症以及心功能变化等。结果联合抢救组患者分诊干预平均时间、心肌再灌注所需时间、抢救平均时间优于基本抢救组,组间差异有统计学意义(P<0.05)。联合抢救组的并发症发生率低于基本抢救组,且联合抢救组存活率高于基本抢救组,组间差异有统计学意义(P<0.05)。治疗前,两组患者的多个心功能指标之间比较,差异无统计学意义(P>0.05);治疗后,联合抢救组多个心功能指数均优于基本抢救组,组间差异有统计学意义(P<0.05)。结论在抢救急性心肌梗死患者的实践中,应充分认识到院前急救与院内绿色通道相结合的应用价值。此举可缩短抢救所需时间,有效提升抢救成功率,并减少患者可能出现的并发症,从而确保患者得到及时、高效的救治。

Objective To analyze important effect of pre hospital emergency and green channel application in rescuing patients with acute myocardial infarction.Methods The paper chose 50 patients with acute myocardial infarction in our hospital from August 2018 to October 2023 for analysis,and divided them into two groups according to rescue methods.Basic rescue group was treated with basic rescue methods,and combined rescue group with pre hospital emergency treatment and green channel combined rescue method.Rescue situation of the patients,incidence of complications,and changes in cardiac function were understood.Results Average triage intervention time(1.40±0.28)minutes,required time for myocardial reperfusion(56.32±4.82)minutes,and average rescue time(44.19±3.62)minutes in combined rescue group was better than basic rescue group(P<0.05).Incidence of complications in combined rescue group was 8.0%,lower than 20.0%in basic rescue group.Survival rate in combined rescue group was 92.0%,higher than 80.0%in basic rescue group(P<0.05).Before rescue,comparison of multiple cardiac function indicators between two groups showed(P<0.05).After rescue,multiple cardiac function indices in combined rescue group were better than basic rescue group,with(P<0.05).Conclusion During practice of rescuing patients with acute myocardial infarction,application value of pre hospital emergency combined with in-hospital green channel should be emphasized,which can reduce time required for rescue,improve success rate of rescue,reduce incidence of complications in patients,and have positive effect on prognosis of patients.